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Paracentesis

…insertion site The left lower quadrant is the first choice : the abdominal wall is thinner there than on the right, and the descending colon is…

Opioid therapy in severe pain

…pain and pain in the palliative phase. Severe breathlessness in the palliative phase (at lower doses than for pain). An opioid is rarely the right…

The left ventricle in myocardial ischemia and infarction

…the highest oxygen demand. The right ventricle and the atria work against much lower resistances and therefore have lower oxygen demands. The wall thickness is…

Injection technique — intramuscular, subcutaneous and intradermal

…which causes the shoulder injury known as SIRVA. Both are avoided with the right landmark and the right needle length. Indications Route Typical drugs Absorption :…

Lumbar puncture

…a rising blood pressure with bradycardia. A known or suspected intracranial space occupying lesion with mass effect and midline shift. Ongoing anticoagulant treatment or marked…

Cardiac amyloidosis

…1]. Cardiac Signs and Symptoms Patients often present with symptoms of predominant right heart failure, including lower extremity edema, ascites, and hepatic enlargement [8, 10…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…progression of right heart failure may indicate the need for inodilator therapy. Furthermore, acute heart failure and cardiogenic shock can present de novo in pregnant…

Tricuspid stenosis

…due to the lower risk of thrombosis and evidence demonstrating long term durability (Filsoufi et al). Percutaneous interventions lack long term safety and efficacy data…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…Pericardial disease, including constriction Right ventricular dysfunction caused by pulmonary embolism Infiltrative cardiomyopathies, particularly cardiac amyloidosis Sepsis and other hyperdynamic states In cardiac amyloidosis, BNP…

Left Bundle Branch Block: ECG criteria and clinical implications

…the right precordial leads [7]. Septal q waves are usually absent [7]. Stricter Criteria : These require a QRS duration exceeding 140 msec in males and…

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